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See a sample rate comparisonCPT 75970 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Transcatheter Biopsy Rad S&I
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75970 |
| Medicaid Fee Schedule | View Medicaid rates for 75970 |
National average reimbursement for CPT 75970 by major payers:
$525.92
$575.43
$484.24
$690.05
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CPT 75970
5 of 25 sample ratesHigher to lower in this preview
Gregg Bean
$3,362.81Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,508.25Published rateDavid Zlotnick
General Physician, P.C.
$614.85Published rateEdward Scheiner
Regional Otolaryngology Head And Neck Associates, LLC
$366.19Published rateEdward Scheiner
Regional Otolaryngology Head And Neck Associates, LLC
$23.87Published rate
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See a sample payer proposalCPT 75970 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75970 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 75970 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 75901-CPT | Moderate | Remove Cva Device Obstruct, Mechanical Removal Of Pericatheter Obstructive Material Eg Fibrin Sheath From Central Venous Device Via Separate Venous Access Radiologic Supervision And Interpretation |
| 75902-CPT | Low | Remove Cva Lumen Obstruct, Mechanical Removal Of Intraluminal Intracatheter Obstructive Material From Central Venous Device Through Device Lumen Radiologic Supervision And Interpretation |
| 75970-CPT | Moderate | Transcatheter Biopsy Rad S&I |
| 75984-CPT | Low | X-Ray Guided Catheter Exchange, Surgery Aided By A Scope (Fluoroscope) To Exchange A Catheter (Small Tube) Used For Drainage. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75970. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75970 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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